RN Case Manager

4 weeks ago


East Liverpool, Ohio, United States Prime Healthcare Full time
Overview

Prime Healthcare is committed to delivering high-quality, compassionate care to our patients and communities. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of others.

Responsibilities

As a RN Case Manager, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility. You will work on behalf of the patient, promoting cost containment and demonstrating leadership to integrate healthcare providers and achieve seamless delivery of care.

Key responsibilities include:

  • Conducting comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness
  • Developing and implementing individualized care plans to achieve quality, clinical, and cost-effective outcomes
  • Collaborating with healthcare providers to ensure timely and effective delivery of care
  • Monitoring and evaluating patient outcomes to identify areas for improvement
Qualifications

To be successful in this role, you will need:

  • A current and valid state RN license
  • At least one year of experience in case management, discharge planning, or nursing management
  • CCM certification or obtained within 6 months of hire
  • Basic to intermediate computer skills
  • Behavioral Violence Prevention Training within 3 months of hire and maintenance

Preferred qualifications include:

  • Minimum 5 years of acute care experience
  • At least one year of experience in case management, discharge planning, or management
  • Current BCLS (AHA) certificate
  • Knowledge of Milliman Criteria and InterQual Criteria

Prime Healthcare is an equal employment opportunity employer and prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws.


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